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Mrs. Susan B. Jeter
Speech/Language/Hearing Specialist/Technologist in Little Rock, Arkansas
NPI 1760677074

Susan B. Jeter is a Speech/Language/Hearing Specialist/Technologist based in Little Rock, AR. Susan B. Jeter practices in Little Rock, AR. The NPI Number for Susan B. Jeter is 1760677074 and holds a License No. 97-05E (Arkansas).

The current practice location address for Susan B. Jeter is 10618 Breckenridge Dr, Little Rock, AR and can be reached out via phone at 501-217-8600.

Location: 10618 Breckenridge Dr, Little Rock, AR, 72223-9340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760677074
Provider Name
Susan B. Jeter
Credential
Provider Entity Type
Individual
Gender
Female
Address
10618 Breckenridge Dr, Little Rock, AR, 72223-9340
Phone Number
501-217-8600
Fax Number
Provider Enumeration Date
09/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
97-05E 01 AR STATE OF ARKANSAS
institution
Provider Business Practice Location Address Details
Address
10618 Breckenridge Dr
City
Little Rock
State
Arkansas
Zip
72211-1802
Phone Number
501-217-8600
Fax Number
person
Provider Business Mailing Address Details
Address
10618 Breckenridge Dr
City
Little Rock
State
Arkansas
Zip
72211-1802
Phone Number
501-217-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
235500000X
License No.
97-05E (Arkansas)
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
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